Individual provider Active NPI

Julio Ortiz, FNP

  • Nurse Practitioner
  • Calexico, CA
National Provider Identifier
1831890995
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024587 Issued in CA
Practice address
1001 E Birch St Ste 1
Calexico, CA 92231-5915
Phone
(760) 890-5593
Fax
(760) 545-0251
NPI assigned
Mar 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95024587 CA Primary

Addresses

Primary practice location

1001 E Birch St Ste 1
Calexico, CA 92231-5915

Mailing address

712 Brentwood Ave
Holtville, CA 92250-1406
Phone (760) 626-5171

Other practice location 1

197 W Legion Rd
Brawley, CA 92227-7727
Phone (760) 351-3300 ext. 3130

Other practice location 2

155 S 6th St
Brawley, CA 92227-2429
Phone (760) 550-6654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426000569 CA Practitioner - Nurse Practitioner 1658736616 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Apr 15, 2023 Accepting new patients
Cep America - California CurrentSince Apr 15, 2023 Accepting new patients
Cep America-California CurrentSince Apr 15, 2023 Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California Current Accepting new patients
El Cajon Medical Group Inc PastSince Jul 1, 2023 Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1831890995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 BRENTWOOD AVE",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "922501406",
            "telephone_number": "760-626-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BIRCH ST STE 1",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922315915",
            "telephone_number": "760-890-5593",
            "fax_number": "760-545-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 W Legion Rd",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922277727",
            "country_code": "US",
            "telephone_number": "760-351-3300 x3130",
            "fax_number": "760-351-3137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922272429",
            "country_code": "US",
            "telephone_number": "760-550-6654",
            "fax_number": "760-550-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JULIO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

Verify at the official NPI Registry.